KINGDOM OF SAUDI ARABIA Ministry of Education KING

KINGDOM OF SAUDI ARABIA Ministry of Education KING ABDULAZIZ UNIVERSITY Faculty of Medicine Vice Dean, Clinical Affairs Internship Office

[Pick the date] [INTERNSHIP TRAINING PROGRAM]

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TABLE OF CONTENTS

Introduction 3

Structure of the Program 4

General Objectives of Internship Year 5

Objectives per Rotations 6

Professional Relationships 12

Reporting Responsibilities 13

Intern Roles in the Field Experience Environment 14

Rotation Guidelines 16

Requirements for KAU Students 20

Non-KAU Applicants 22

General Guidelines for Internship Schedule 24

Vacation Policy 26

Change of Schedule Policy 28

Dress Code Policy 29

Issuing Internship Certificate 31

Confidentiality Agreement 32


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MISSION:

To educate and facilitate lifelong learners to be outstand clinicians, leaders

and educators, advocates and researchers of the future.

VISION:

To be distinguished as a leader among Middle East medical schools through

community collaboration in medical education, patient care, research and

service.

INTRODUCTION:

The aim of Internship Training Program is to provide a general clinical

experience in a setting of supervised clinical responsibility in order that

interns acquire the necessary knowledge and skills for the practice of

medicine in general and that they develop proper medical attitudes and

ethics in accordance with the teachings of Islam. Internship is a period of

transition from medical student to a qualified physician; a process in which

an Intern gains more confidence in patient care, develops professional

attitudes and applies appropriately the knowledge and skills in the practice

of medicine.

Interns are 7th year medical students are holder of MBBS degree but still

lacking the field experience. They are not still licensed by the Saudi

Commission for Healthcare Specialties (SCFHS).


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STRUCTURE OF THE PROGRAM:

ROTATION DURATION

Internal Medicine 2 months

General Surgery 2 months

Pediatric 2 months

Obstetrics & Gynecology 2 months

Emergency Medicine 1 month

Family Medicine 1 month

Elective 2 months


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GENERAL OBJECTIVE of Internship Year:

a. Consolidate, expand and apply knowledge of the etiology, pathology,

clinical features, natural history and prognosis of common and important

presentations at all stages of life

b. Demonstrate safety skills including effective clinical handover, graded

assertiveness, infection

control, and adverse event reporting

c. Communicate clearly, sensitively and effectively with patients, their

family, doctors and other health professionals.

d. Perform and document a patient assessment, incorporating a problem-

focused medical

history with a relevant physical examination, and generate a valid

differential diagnosis.

e. Safely perform a range of common procedural skills required for work as

general physician .

f. Recognize and assess deteriorating and critically unwell patients who

require immediate care. Perform basic emergency and life support procedures

g. Demonstrate ability to screen patients for common diseases and provide

care for common

chronic conditions

h. Respect the roles and expertise of other healthcare professionals, learn and

work effectively as a member or leader of an inter-professional team, and

make appropriate referrals.


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OBJECTIVES PER ROTATIONS:

FAMILY MEDICINE:

1. Describe the principles of family medicine.

2. Recognize common medical problems encountered in family medicine.

3. Define the red flags of different clinical situation encountered in family

medicine.

4. Identify the principles of disease prevention and health promotion

including child preventive services in well baby clinic and elements of

antenatal care.

5. Define basics of geriatric, home care, complementary and alternative

medicine.

6. Develop the ability to manage common medical problems encountered

in family medicine.

7. Develop an appropriate differential diagnosis

8. Appraise clinical evidence for different clinical problems encountered

in family medicine practice

9. Demonstrate proper communication skills, both orally and in writing,

including documenting in patient records, SOAP format, making case

presentations, writing prescriptions and writing referrals

10. Practice effective use of evidence-based medicine resources

11. Demonstrate proper communication skills with patients

12. Demonstrate the ability to take history, perform physical exam and

manage common clinical problems in family medicine

13. basic procedural skills commonly performed in family medicine


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PEDIATRIC:

1. Outline causes of common pediatric problems (jaundice, anemia,

developmental delay, and failure to thrive) (MK)

2. Describe the pathophysiology of common pediatric emergencies

(bronchial, asthma, heart failure, renal failure) (MK)

3. List the side effect of frequently used drugs (paracetamol, Ventolin,

Lasix, iron)

4. Recognize the physiological differences among different pediatric

categories (neonate, infant, toddler, adolescent)

5. Calculate fluid and calorie requirement

6. Interpret CBC, U&E, Blood Gas, LFT

7. Justify the use of different type of antibiotics

8. Design approach for different pediatric emergencies (Dehydration,

Seizure, Bronchial asthma)

9. Design management approach for emergency laboratory abnormalities

(hypoglycemia, hypocalcemia, hypokalemia, metabolic acidosis)

10. Demonstrate team work

11. Write informative note (progress note, discharge summary)

12. Showing self confident while teaching and educating patients about

their disease

13. Using simple and clear language with patients

14. Use different search engine for reaching answers regarding the patient

condition

15. Demonstrate skills in choosing the best available evidence

16. Perform complete physical examination

17. Plot patients growth parameters on the chart (weight, height, head

circumference)

18. Demonstrate skill in blood extraction (venous, arterial), NGT, urinary

catheter

19. Demonstrate skill in giving different types of injections (ID, IM, IV)


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INTERNAL MEDICINE:

1. Outline causes of common medical problems (ischemic heart disease,

Heart failure, GI bleeding, Stroke, renal failure…etc.)

2. Recognize the presentation of common medical emergencies (septic

shock, pulmonary edema, hypertensive emergencies, acute stroke,

diabetic coma, etc…)

3. List side effects of commonly used medications (OHA, ACEI, Diuretics,

Steroids, etc..)

4. Recognize the difference in handling medications and other

interventions among young adults, middle age and geriatric age

groups.

5. Interpreting Chest X-ray, CT brain, CBC, ABG, LFT

6. Choosing appropriate initial antibiotic coverage for septic patients,

adjusting treatments based on investigations results.

7. Choosing appropriate heart failure, diabetic medications and adjusting

them.

8. Localizing lesions in neuraxis and choosing appropriate investigation

MRI, EEG, EM.

9. Learning how to part of a team

10. Writing daily progress note on every patient

11. Teaching patients how to use medications on discharge and answer

their questions

12. Using simple and clear layman language explaining medical conditions

13. Using the search engines available through the KAU library online

access to search for best evidence

14. Using Phoenix hospital patients’ management system to complete all

patients’ assignments including orders, results, initial patient

assessment and progress notes.

15. Perform complete medical examination.

16. Performing procedures like extracting venous blood, lumbar puncture,

NGT

17. Giving IV medications, accompanying and monitoring patients to MRI

or other procedures outside the unit

18. Perform CPR and advanced resuscitative measures during calls


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GENERAL SURGERY:

1. To outline pre operative evaluation and post operative assessment and

follow-up

2. To state how to manage acute surgical problem on the floor

3. To list different type of IVF and choose the appropriate one according

to the patient need

4. To recognize when to give the patient IVF and when to stop it

5. To recognize differential diagnosis of the newly admitted patient

6. To outline common radiological finding in surgical patient

7. Ability to interpret data of the patient (history-examination-

laboratory-radiology)

8. Ability to read the interpret the nursing flowchart

9. To calculate IVF according to the patient need and instruct nurse

about the rate of the infusion.

10. To do medication reconciliation under supervision


12. Write informative note (progress note, discharge summary)

13. To learn how to take informed consent

14. To take clerking of patient newly admitted

15. To follow up patient with the team

16. Join team on the OR, ER

17. Communication skill with the team, patient and their family

18. Use different search engine for reaching answers regarding the

patient condition

19. Demonstrate skills in choosing the best available evidence

20. Evaluate history taking and examination skills

21. Demonstrate skills in removing drain, suture, stapler

22. Demonstrate skill in applying dressing for simple wound

23. Demonstrate skill in blood extraction (venous, arterial), NGT insertion,

and urinary catheter insertion.

24. Perform simple wound suture on the OR

25. To perform scrubbing for OR


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EMERGENCY MEDICINE:

1. Recall Basic Knowledge

2. Describe the pathophysiology of common emergencies (eg. MI, BA,

epilepsy)

3. Describe ABC

4. Recognize important medications in ER

5. Calculate IVF according to patient’s need

6. Interpret laboratory results

7. Interpret abnormal radiological findings

8. Design approach for common emergencies


10. Write complete informative notes

11. Demonstrate approach to Medical-Legal aspects

12. Communication skills with staff, patient and relatives

13. Use different search engine for looking of updates in emergency

medicine

14. Demonstrate the ability to use the internet to find different approach

of treating patient

15. Perform complete physical examination

16. Demonstrate skills in different emergency procedures

17. Demonstrate skill in different type of injection

18. Perform simple wound suturing

19. Show the ability to help patients in Triage


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OBSTETRIC & GYNECOLOGY:

1. Write a good OB & GYNE history

2. Define the preconception & prenatal care

3. To state the stages of normal labor

4. Define the purperium & its complication

5. Outline the preoperative preparations

6. Ability to interpret the patient data (hx-ex, -investigations)

7. Interpret CTG normal & abnormal

8. Recognize the purperium period complication

9. Recognize post operative complication

10. Develop the ability to council about breast feeding & contraception

11. Recognize the definition & seriousness of PPH

12. Differential diagnoses of third trimester bleeding (APH)

13. Evaluate the punctuality

14. Evaluate the feeling of responsibility

15. Evaluate the learning progress by gaining confident

16. Demonstrate a good use of the phoenix & pager system at KAUH

(including the hospital protocols)

17. Assess the performance & communication with the surrounding

18. Demonstrate the leadership personality and organizing the team work

19. Show how to assess in normal vaginal delivery & CS

20. Perform 1st degree perineal tear suturing with supervision

21. Perform obstetrics examination & simple procedures (leopols’s

maneuvers – PV – ARM – FSE)

22. Perform Gynecological examination & simple procedures (bimanual ex,

-speculum – pap smear – endo. Sample)

23. Demonstrate skill in using US

24. Demonstrate skill in detecting fetal HR by Doppler

25. Perform scrubbing, gowning, & gloving in OR


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Professional Relationships:

Physicians must demonstrate professional behavior in their interactions

with each other, as well as with students, patients, other trainees,

colleagues from other health professions, and support staff. Any form of

behavior that interferes with, or is likely to interfere with, quality health

care delivery and quality medical education are considered “disruptive

behavior”. This includes the use of inappropriate words, actions, or

inactions that interfere with a physician’s ability to function well with

others and may also interfere with students’ education. It is the

responsibility of the MRP and his designee to ensure that the

undergraduate medical education environment is safe and free of

harassment, discrimination and intimidation.


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Reporting Responsibilities:

Physicians involved in the intern training shall report to the

departmental medical students committee, chairman of the

department and the Vice dean of clinical affairs (VDCA).

It is the responsibility of the MRP and or supervisor to promptly report

if a medical student exhibits any of the following:

a) Attitudes suggesting disrespect, abuse or exploitation of a

patient.

b) Failure to interact with patients professionally and ethically.

c) Unprofessional and or unethical attitudes towards supervisors

or colleagues.

d) Engagement in inappropriate behavior at the hospital premises.

e) Obstacles to the acquisition of medical and clinical experience.

The chairman of the Medical students committee of the concerned

department is responsible for addressing any of the reported concerns

and shall report to the chairman of the department. The chairman of

the department shall ensure that proper action is taken and that the

VDCA is informed of the concerns and the corrective actions if any.

The VDCA reports directly to the Dean of the FOM who chairs both the

Faculty and Medical boards.


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INTERNS ROLES IN THE FIELD EXPERIENCE ENVIRONMENT:

Attend and assist the consultant, senior registrar, registrar and

resident on rounds in the unit, operating rooms, labor and delivery

rooms and clinics.

Daily round on patients to be repeated in the afternoon if instructed by

a senior team member.

Attend daily teaching rounds with their respective teams.

Participate in the scientific activities of the department.

Complete history and physical examination, and order investigations

after consultation with the resident or other senior staff as soon as the

patient is admitted to the unit.

Fill all request forms legibly and complete the relevant information

required for the investigation requested and enter it in the computer.

Clerk new admissions within one hour for routine cases, and

immediately for emergency cases.

Follow recommendations of the other departments in preparing

patients for specific procedures.

Follow-up on the results and reports of the patients and make sure

that they are completed and conveyed to a senior member of the team.

Write the progress notes of their respective patients as instructed by

the resident daily. All documentations will be mandatory at KAUH

under the part (intern notes) in the hospital information system

(Phoenix). These includes the full clinical data for any requested

investigation or procedures. For all affiliated hospitals,

documentations will depend on their policy regarding that issue.

Attend and inform the resident in the team or on-duty of routine and

emergency admissions.

Inform the resident immediately of any serious and life-threatening

situations arising in the patients present in the unit.

The House Officer is obliged to respond immediately when called or

paged to see a patient or a patient's result, and not to initiate any

management without the presence or approval of a senior member of

the team, unless immediate intervention by the house officer is life

saving.

Will not perform any surgical or invasive procedure in the clinic, unit

or operating room unless supervised by the consultant, senior

registrar, registrar or resident.

Make sure that follow-up appointments for the patient are arranged

before discharge from the hospital.


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When the on-call is over, NOT to leave the hospital without conducting

a proper endorsement of the on-call activities to the house officer of the

incoming on call team.

When assigned to the Day Care Unit, should remain in the unit from

08:00 to 17:00.

The house officers notes or documentations are not considered official

unless they bear his/her signature and stamp and are countersigned

by the resident.

Should seek the counter signature of the resident on all notes written

and documents filled by him/her.

Extraction of blood and insertion of intravenous routes for patients of

your team, and for all patients in the unit during on call hours. A

phlebotomist and the unit nurses, if available, will provide assistance.

Not to prescribe Narcotics or controlled drugs without consulting a

senior member of the team, and when doing so, immediately sign and

stamp the medication sheet only for the patients for whom the drug

was prescribed.

Staying in the hospital beyond duty hours is not allowed unless

justified.

The house officer is obliged to respect and abide by KAUH's

regulations concerning clothing and the general appearance.

The house officer is obliged to wear the white coat and identification

card throughout his/her stay in the hospital premises.

The house officer is obliged to immediately, commence all procedures

leading to his/her acquisition of a personal pager, stamp, and

identification card.

4.


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Rotation Guidelines:

1. ROTATION:

a. FIRST PRIORITY is to complete KAUH interns allocations before

sending others to affiliated hospitals.

b. Under no circumstances, if needed in the University anytime to pull

out interns assigned in other hospitals.

c. NO CHANGE OF YOUR APPROVED INTERN’S SCHEDULE.

d. All rotation must start on the 1st day of Gregorian month. No

exception is allowed.

e. All rotations must be 1 complete month. No splitting will be allowed

under any circumstances.

f. Major rotations must be taken in 2 consecutive months , no

splitting is allowed under any circumstances. Major rotation must

be taken as general rotation and sub-specialties are not allowed to

be chosen unless it was scheduled by the department as internal

arrangement.

2. The INTERNSHIP OFFICE is responsible in sending letters to

affiliated hospital. It is NOT ALLOWED to CHANGE the intern

rotation once the letter has been sent.

3. Interns are NOT allowed to communicate directly to the heads

of department &/or affiliated hospital regarding acceptance, it

is always thru the Internship office. You can communicate

directly if it is being instructed by the Internship office.

4. Elective must be requested at least 2 to 3 months in advance to have

time for approval especially those requesting outside KAUH.

5. VACATION – is maximum of 15 days for the whole year. (Please see

the vacation policy)

6. Exams, Symposiums, Courses etc.. are NOT part of the internship

training. (Interns may be required to repeat the days they missed)

There is NO Academic leave during internship training.

7. EID HOLIDAY: Interns are only entitled to 5 days leave, which

is taken either in Ramadan or Hajj Holiday only. Interns

assigned in other hospital should follow the rules and regulations of

the hospital.

8. SICK LEAVE: Interns must inform immediately the assigned

department and submit a sick leave report for approval. The sick leave


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report should be generated from a governmental hospital and

preferably from the hospital where the intern is taking his/her

rotation.

9. ABSENCES: In case of any absences an excuse letter with

documentation (if available) should be submitted in advance (if

possible) to the department or maximum of within 4 working days

after the absence day. The maximum legitimate days of absences from

the rotations are :

a. 5 days from 1 month rotation or 15% of the rotation which one is

less

b. 7 days from 2 months rotations or 15% of the rotation which one

is less

If any official excused absence exceed these numbers, ALL missing

days should be repeated after the whole internship training.

10. ON-CALL & DUTIES: Interns are not allowed to leave the hospital

while on duty, especially if On-call. Duty time & On-call should follow

the department rules but minimal of 45 working hours/week must

maintained. Number of On-call days should not exceed 10 days/month.

The interns are allowed to leave the hospital after 12:00 noon on next

day after proper endorsement and taking permission from the team.

11. MATERNITY LEAVE : It is preferable to make the expected date of

delivery during the one month rotation. Maternity leave is considered

a legitimate absence and usually last for a month. The intern must

inform the internship office about her expected day of delivery as soon

as she know it. She must submit a request for the maternal leave with

documentation so the internship office will make the necessary

arrangement. If delivery happened or schedule is different time than

the expected date, the intern must inform the internship office

immediately. Any delay in notification will be under the responsibility

of the intern herself for any consequences. If the intern wish to extend

her leave, she must request that officially with proper documentation.


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12. EVALUATION : We are using a 360 degree evaluation forms for all

rotations. The forms are sent directly to the departments however for

affiliated hospitals some needs to be carried by the interns to them.

The interns are responsible to fulfill all criteria that set by the

department in order to get his/her evaluation. These includes but

limited to the following:

a. Perform Formal Clearance from the hospital

b. Retrieving any belongings

c. Repeating any missing days

d. Reporting to the Training/Academic Affairs

Even if the intern had the passing score of 60%, the evaluator still can

recommend some repetition of the intern’s rotation according to the

department’s judgement.

13. The intern must follow-up his/her evaluation with the department

secretary however the evaluation must be send to the internship office

directly from the department. In special circumstances in which the

department was unable to send the evaluation directly to the

internship office, the intern must bring his/her evaluation personally

to the internship office in stamped and sealed envelope.

14. The interns will not receive his/her certificate unless he/she complete

all requirements (please refer to the Issuing Internship Certificate

Policy).

15. DURATION OF THE TRAINING: The intern must complete all

rotation and requirements within the given period that is equal to 1

full Gregorian year. The repetition of a rotation should be done after

the 1-year internship training at the nearest available time. However,

all repetition must be approved by the internship office. Moreover, the

maximum extended time for completing the internship training is 6

months after that the intern is subjected to repeat the whole year

including a pre-training exam & interview.

16. All submitted requests will be subjected for approval & final schedule

can be differ completely from the original requests.

17. It is expected to have 1 major rotation in KAUH.

18. Requests for changes that have legitimate reason(s) and all necessary

documentation will not be accepted within the last month of the

rotation.


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N.B. legitimate reasons does not include social or academic. All

reasons must be accompanied by official documentation

19. PAGER: PAGER MUST BE ANSWERED IMMEDIATELY.

20. Interns are NOT AUTHORIZED to sign birth certificates and all

sick leaves.

21. RESPECT your Colleague & Supervisor. (Discipline in dealing

with colleagues).

22. SMOKING is NOT ALLOWED IN THE HOSPITAL and the rest of

University compound.

23. All procedure must be directly supervised by eligible staff, after the

correct consent from the patient, failure to this can lead to disciplinary

action which can lead to expulsion from the training program. The

procedure includes:

- IV/IM injection for regular medication NOT chemotherapy

- Extract blood for routine blood works & blood culture

- Urine catheter for low risk patient. NOT with coagulopathy – lady

with circumcision-single lady

- Apply CTG

- Conducting SVD for low risk patient (with resident supervision)

- Check fetal heart by doppler

- Check vital signs for stable patient

- Pap smear & endo. Sample (with Resident supervision)

- Speculum exam & amniosure test

- HVS (high vaginal swab)

- Apply ECG leads

- Nasogastric tube insertion

- ABG

24. Failure to follow the above rules, not notified absences or conviction

with an ethical situation are subjected to be expelled from the

program.


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REQUIREMENTS FOR KAU STUDENTS:

1. Students are not allowed to apply for the internship program until the

following requirements was meant or submitted:

a. Submit a clearance from the Vice Dean of Clinical Affairs along

with Transcript of Records copy.

b. Attending the orientation course and passing the practical

workshop are MUST to start the internship year.

All part of the orientation course must be attended. Missing any

part will be considered as failure of attending the orientation

course as a whole. This is considered as withdrawal from the

internship year.

Orientation course is usually held within 5 days in which all

interns must attend the theoretical part which last for half a

day. The rest will be designated as workshop in which each

intern will attend only a half-day in the Skills Lab. Scheduling

for the practical sessions will be assigned by the interns

themselves and final schedule will be sent by the main male &

female leaders 2 weeks before the orientation. No changes is

allowed after that. Orientation cannot be rescheduled and all

interns must know the exact days of the course before making

any plan.

c. Provide a recent medical clearance & active BLS certificate are

must be available at least 2 months before the start of

internship. Failure will stop the internship processing

completely.

NB: Medical clearance includes Blood Group, HBs Ag, HBs Ab,

HCV Ab, HIV, Rubela Ab IgG, Measles Ab IgG, Mumps Ab IgG,

Varicella Zoster Virus Ab IgG, vaccines for Rubella, Measles,

Mumps & Varicella-Zoster if negative) and PPD or Manoutx test

(mandatory requirements). In case of positive PPD test result or

any vaccination, clearance must be presented from the Staff

Health Clinic and following their guidelines in follow-up are

mandatory. Failure of this will stop the training.

2. The name on your graduation certificate must match completely your

name in the passport in any respect. The internship certificate will

based on the graduation certificate name regardless of the passport

name after getting the right consent from the intern about that issue.


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3. Salary is available for Saudi’s, son of Saudi mother and Gulf citizen

however the faculty of medicine is responsible to send the paper work

to the ministry which have the full authority of providing the salary or

not according to their regulation. The paper works for salary includes

filled data sheet, medical clearance, BLS, copy of passport and national

ID, 6th year clearance, IBAN (from the bank) & orientation certificate.

All of these requirements must be filled 2 months before the start of

internship year and failure of this will stop the paper processing for

salary.

4. Signing all necessary consent forms.

5. To ensure receiving the e-mail from internship office, the intern must

add the e-mail address to the contact information within the e-mail

service.

6. Collecting required documents:

All documents must be collected by the sub-group leaders & all

documents from all 6th year student of each group must be given

altogether. Failure of this will be reported to the Vice Dean to take a

necessary action. The deadline for collecting the paper will be provided

by February and no extension will be allowed from this deadline.


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Non-KAU Applicants

A. Graduated in Saudi Colleges within the Kingdom

1. Each intern is allowed to have 2 months rotation in KAUH in any

specialty according to the availability.

2. Application should be at least 1 month before the rotation.

3. All requirement(s) must be ready which includes: request letter

from your college, BLS certificate & medical clearance results

(Blood Group, HBs Ag, HBs Ab, HCV Ab, HIV, Rubela Ab IgG,

Measles Ab IgG, Mumps Ab IgG, Varicella Zoster Virus Ab IgG,

vaccines for Rubella, Measles, Mumps & Varicella-Zoster if

negative) and PPD or Manoutx test (mandatory requirements)).

4. All rules and regulations of our KAU internship will be applied in

you which includes our vacation policy.

5. Evaluation will not be sent / given unless clearance from the

hospital was made.

B. Graduated from outside the Kingdom

1. The usual starting period for internship is on 1st of March and

receiving applications will be stopped by middle of December.

2. No application will be received without the original Ministry of

Education (MOE) letter.

3. All candidates will have to enter a written exam. and interview.

Written exam is composed of 30 MCQ items in general medical

subjects with 1 essay. The interview will be held most of the time

on the day of the written exam. Applicant(s) must submit all

mandatory documents without any exception at least 1 month

before the exam date which usually held on January each year.

4. Requirements for entering the exam are as follows:

a. Original MOE letter (copies are not sufficient)

b. Medical Clearance

a. Lab works (Blood Group, HBs Ag, HBs Ab, HCV Ab, HIV,

Rubela Ab IgG, Measles Ab IgG, Mumps Ab IgG, Varicella

Zoster Virus Ab IgG) and PPD or Mantoux test.

b. Vaccines (Diptheria, Hepatitis B and Meningitis) (Rubela,

Measles, Mumps and Varicella Zoster)


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c. Passport copy

d. National ID / Iqama copy

e. Transcript of Records copy

f. Graduation Certificate copy

g. BLS Certificate copy

h. 2 pcs. Personal photo

5. Attending Orientation Course is a mandatory.

6. The schedule and distribution will be only at the available positions

and no changes of these are allowed . Only 2 months are allowed to

be taken outside Jeddah which includes the electives. (at least 80%

of rotation must be at KAUH)

7. All rules & regulations of KAU graduates will be applied.

8. After finishing the clearance the intern will received an internship

certificate as long as he / she spent the whole year under our

supervision. The name on the certificate will be based on the name

in the passport regardless of what is written in the graduation

certificate.

9. Salary is available for Saudi’s, son of Saudi mother and Gulf citizen

however the faculty of medicine is responsible to send the paper

work to the ministry. The Ministry in Riyadh has the full authority

of providing the salary or not according to their regulation.

10. No freezing is allowed during internship training and the intern

must finish all requirement within 1 Gregorian year from the start

of rotation.

11. All applicants are not allowed to communicate directly with any

affiliated hospital(s).

12. All communication will be held through our official e-mail service.

Failure to respond to this e-mail indicate withdrawal from the

program. Our official e-mail: [email protected]

mailto:[email protected]


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GENERAL GUIDELINES FOR INTERNSHIP SCHEDULE:

This guidelines applies for only KAU students. For all non-KAU student the

schedules of the internship already pre-set by the internship office which

generally unchangeable.

Internship Requirements Time Frame

Requirements to start online schedule: Transcript of records, 6th year

clearance, Agreement on policies. This must be submitted by end of January

otherwise student is not allowed to do the schedule.

Requirements before starting internship:

a. Medical Clearance

b. Datasheet

c. BLS

d. Attending orientation course

e. Consents

f. Confidentiality Agreement

g. IBAN

All requirements must be submitted by the end of the 2nd week of May

except for the orientation course that is held on the 1st week after the final

exam.

Internship scheduling for the internship training will be done through

internship training management schedule (ITMS) which you will find as an

icon in the medical college website. All requirements must be fulfill to be

eligible to enter this program (please refer to the section Internship

Requirements).

On-line Internship Schedule:

You can access the website from any computer & the time of

opening the schedule will be given to all leaders of the groups. The

scheduling procedure is usually held on the 1st week of March which

followed by a period of 2 weeks that the students are allowed to make

modification & changes in their propose schedule by filling the change

request form and to be sent through our official e-mail. During this

period the internship office will check the availability of the requested


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changes and do all necessary modification in the schedule according to

the availability. If the changes was not possible the proposed schedule

will remain as it is. By the end of the 3rd week of March, no changes in

the schedule are allowed and your schedule is final for the rest of the

training.

At least, 1 major rotation must be selected at KAU hospital. At

least 50% of your rotation is expected to be at KAU hospital.

In case the student wants to take all his/her internship outside

Jeddah, the above conditions & website are not applied except for the

requirements.

For those students who wants to take ALL their schedules

outside Jeddah, they must submit a request form along with proposed

schedule and the requirements to the internship office not more than

the end of 2nd weeks of February.

Medical clearance and BLS certificate are also required with

these application.

The final schedule of these students will be confirmed after the

internship office received the confirmation from the requested

hospitals. No changes in the schedule is allowed after we send the

request to the hospital unless the internship office receive a rejection

that that request. Internship office will NEVER send a request for

same rotation for 2 hospitals simultaneously.


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VACATION POLICY:

Vacation for 1-year internship training are as follows:

15 days Annual vacation

5 days Eid vacation in 1 Eid holiday

Note: Academic leaves are NOT allowed.

Guidelines for Eid vacation:

1. Interns will follow the hospital rules regarding the duration of the

vacation.

2. During the vacation, you will have normal working days which

includes on-call duties.

3. For the hospitals that follow the government duration of vacation, the

period will be divided to 2-3 parts to allow maximum number of interns

to take their Eid vacation.

4. Other hospitals that have shorter period of Eid vacation, there will be

only one part which include the day of the Eid and 4 days after. Minor

adjustments can be done if these didn’t interfere with the hospital

policy.

5. The general rules in applying for Eid vacation are first come, first

served and maximum of 50% of interns can take the vacation at any

point.

6. If all interns of one department at KAUH agreed to take their Eid

vacation in different arrangement than the designed parts, that will

accepted as long it maintains the 50% rules.

For example, if there was 2 periods: 1-5 and 6-10 but ALL interns of a

rotation agreed to take 3-7 in which 20 interns out of 40 interns will

take their Eid vacation that will be acceptable.

Interns are not allowed to stop their rotation in order to study for the

exam, attending exam or participating in any activity or training that

is not part of their internship.


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Guidelines for Annual vacation:

1. Interns are allowed to have maximum of fifteen (15) days of annual

leave and additional five (5) days that can only be taken during one of

the Eid vacations.

2. All vacation request must be submitted to the internship office teo (2)

weeks before the rotation at KAUH or at least 1 month before the

rotation in any other affiliated hospital.

3. In case of special circumstances that required to submit the request

late, special requests must be sent to internship office explaining the

situation with all necessary documentation.

4. It is allowed to take only five (5) days in each request per rotation. No

division or summation of the vacations within any rotation will be

allowed in any circumstances. Any additional days will follow the

policy of absences.

5. All requests must be submitted to the internship office within the

expected period and the final approval should be taken by the

department.

6. The intern is fully responsible for retaining the approved request to the

internship office. Failure of the submission will be subjected to

disciplinary action which includes repeating part or whole rotation.

7. This policy doesn’t include any emergency leave, for that, kindly refer

to the absence policy.

8. In KAUH, not more than 25 % of interns are allowed to take annual

leaves at any point of time for major rotations excluding elective. For

EId vacation, the maximum number of interns to take eid vacation is

50%. Kindly refer to the eid vacation policy.


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CHANGE OF SCHEDULE POLICY

1. There is no changes in the schedule after submitting the final schedule

in the internship office (whether electronically or paper).

2. Special circumstances of changing part of the schedule.

A. Interns are allowed to make changes within KAU hospital if the

request of changing was 2 weeks before the rotation and that there

is availability in both rotations.

B. Changing from KAU hospital to affiliated hospitals is allowed if

that is applied 2 months before the rotation and there is availability

in the requested hospitals as long as the intern maintained at least

1 major rotation within KAU hospital.

C. No changes is allowed from any affiliated hospital after sending the

requests whether accepted or requests still pending. If there was a

strong documented & legitimate reason for such changes the

document must be applied 2 months before the rotation. List of

legitimate reasons are available in the FAQ’s.

D. Changing the rotation within the affiliated hospitals or switching

the rotation between the interns and the periods are generally

allowed under 2 conditions:

1. Application should be applied 2 months before the rotation.

2. Acceptance from the affiliated hospital of the interns request

switching will not be processed until 2 signed requests are

provided.

3. Interns are not allowed to officially communicate directly to affiliated

hospitals and all changes will not be accepted if it was through the

internship office.

4. The evaluations from any hospital will be accepted based on the

internship office records. In case of changes made by the intern

without proper requesting the changes from the internship office, the

intern will be punished by repeating the whore rotation and subjected

for other academic punishment.

5. If the intern planned to apply for abroad training he/she must schedule

his/her rotation in the system as outside KSA or any rotation within

KAU hospital. Once the intern accepted for any outside KSA rotation,

he must immediately inform the internship office within 3 working

days. Failure for that will be subjected the intern for academic

punishment including repeating the rotation. The internship office will

provide all academic support to help the intern getting his abroad

training as long as he/she is following the policy & procedures of the

internship.


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DRESS CODE POLICY

1. Identification badges must be worn at all times.

a. Identification badges are to be clearly visible, above the waist.

b. The Lanyard must not interfere with patient care and safety

and kept clean.

c. Identification badge holders may be worn if not interfering with

patient care and safety

2. Hair:

For men, must be clean, neatly groomed and controlled.

a. Long hair must be secured away from the face.

b. Extreme styles and colors are not permitted.

c. Fashion head bands or skullcaps are not permitted.

For ladies, must be covered as per the Shariaa law:

a. Head scarves shall not interfere with patient care and safety

b. Scarves shall not be loose for modesty and safety

c. Bright colors and glittery designs are not acceptable

d. Black, white or neutral colors shall be used

3. Nails must be short, neat and clean, to avoid irritating patients during

clinical examination.

a. Nail polish and decorative designs are prohibited.

b. Artificial fingernails are Not allowed for all staff and

students in contact with patients.

4. Jewelry must be plain and inconspicuous.

a. Jewelry must not interfere with patient care or safety.

b. Necklaces are NOT permitted.

c. Bracelets or armbands are not permitted unless they are a

Medical Alert bracelet.

d. Only one ring or ring set is allowed.

e. Well- fitting, not loose, wrist watch is permitted.

f. Facial piercing jewelry (i.e. eyebrow, nose, tongue, lip, etc.) is

prohibited.

Exception: If a nose ring is worn for religious/cultural

purposes.

5. Fragrance is not to be used in the hospital and patient care areas.


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6. Footwear should be clean, appropriate for clothing, protective and fit

securely.

a. Shoes should be non-permeable entirely white or black.

b. Shoes must have a closed toe and closed heel.

c. Canvas shoes or “crocs” with holes are not permitted in

patient care areas.

d. Shoes and shoelaces must be kept clean. Shoelaces must be

white or match shoes.

e. Staff must wear hosiery or socks at all times.

7. Cloth stethoscope covers or decorative items attached to stethoscope

are not permitted.

8. Uniform/Clothing Standards:

a. Undergarments must be worn and inconspicuous under

uniform or clothing.

b. Clothing must be clean and neatly pressed.

c. Faded / yellowish, discolored or ripped clothing is not

acceptable.

d. All clothing should be non-see through.


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ISSUING INTERNSHIP CERTIFICATE POLICY:

Requirements:

1. Completion of 12 months training under KAU complete supervision

2. Clearance from the hospital.

3. Submitting copy of graduation certificate and passport (this must be

submitted at least 2 months before finishing or the internship

certificate will be delayed).

4. Receiving all evaluations with no repetition or punishment.

5. In special circumstances, that requires the intern receives his

internship certificate before finishing all requirements which includes:

1. Document the necessity of having the internship earlier. This

document should include a deadline from the body that the intern is

applying for.

2. Consent about the true information’s provided and also the

commitment of the intern to fulfill all requirements within the

expected period. Failure of that will hold all kinds of clarification

until all requirements achieved.

3. Intern must have good conduct and not in academic punishment of

any kind.

Preliminary evaluation of only pass mark will be initiated and will be

permanent in the intern’s record if the final evaluation grade was not

received within the expected time.


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Confidentiality Agreement

1. Confidential Information will also include any information that has

been disclosed by a third party to the Provider and governed by a

non-disclosure agreement.

2. The Confidential Information will remain the exclusive property of

KAUH and will only be used by the INTERN for the Permitted

Purpose. The INTERN will not use the Confidential Information for

any purpose that might be directly or indirectly detrimental to

KAUH or any of his affiliates or subsidiaries.

3. The INTERN may disclose any of the Confidential Information:

a. to such of his colleagues, representatives and advisors that have a

need to know for the Permitted Purposes

b. to a third party where the Provider has consented in writing to

such disclosure; and

c. to the extent required by law or by the request or requirement of

any judicial, legislative, administrative or other governmental

body.

The INTERN agrees to retain all Confidential Information at his

usual place of work. Further, the will not be used, reproduced,

transformed, or stored on a computer or device that is accessible to

persons to whom disclosure may not be made, as set out in this

Agreement.

6. Any failure to maintain the confidentiality of the Confidential

Information in breach of this Agreement cannot be reasonably or

adequately compensated for in money damages and would cause

irreparable injury to KAUH.

7. Upon the expiration or termination of this Agreement, the INTERN

will:

a. return all Confidential Information to KAUH and will not retain

any copies of this information;

b. destroy or have destroyed all memoranda, notes, reports and

other works based on or derived from the INTERN’s review of

the confidential information; and

c. provide a certificate to KAUH that such materials have been

destroyed or returned, as the case may be.

If the INTERN loses or fails to maintain the confidentiality of any

of the Confidential Information in breach of this Agreement, the

INTERN will immediately notify KAUH and take all reasonable

steps necessary to retrieve the lost or improperly disclosed

Confidential Information.


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PUNISHMENT POLICY:

1. Any violation of any element of the policy is subjected the intern for the following: 1. Repeating part or the whole rotation(s) 2. Taking additional training. 3. Changing the intern schedule disregarding the intern wishes. 4. Adding more duties within the rotation such as more on-calls or

presentations. 5. Performing community service. 6. Stopping the internship year for a duration that does not exceed six (6)

months. 7. Expelled from the program.

2. List of common violation with its punishment:

SERIAL NO.

VIOLATION PUNISHMENT

VO-1 Absence without acceptable excuses

Repeating the whole period of the rotation

VO-2 Not attending an On-Call Repeating the whole period of the rotation

VO-3 Not attending any mandatory department meeting or activity

Performing additional duties and the intern is subjected to repeat a part or even the whole rotation depending on the number of the violation

VO-4 Late arrival or early leaving (Punctuality)


VO-5 Not respecting colleagues or senior Intern must admit this behavior in writing and consented not to do such thing in the future. Repeating such violation will be subjected for severe


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punishment which includes expelled from the program. However, if the violation was of single event the intern is still subjected to performing additional duties and has to repeat a part or even the whole rotation.

VO-6 Communicating directly to the department or hospitals without official permission which includes any attempting to change the intern schedule

Additional one (1) month training for the first violation. If the violation was repeated the intern is subjected to be expelled from the program.

VO-7 Cancelling rotation from the department or hospital without official permission

Additional one (1) month training for the first violation. If the violation was repeated the intern is subjected to be expelled from the program.

VO-8 Signing attendance sheet for somebody else

Additional two (2) month training for the first violation. If the violation was repeated the intern is subjected to be expelled from the program.

VO-9 Attending rotation in behalf of somebody else or performing any task(s) in other department that the intern is not assigned to without permission

Additional two (2) month training for the first violation. If the violation was repeated the intern is subjected to be expelled from the program.

VO-10 Not following dress code of the hospital which includes not wearing ID badges

Performing additional duties and the intern is subjected to repeat a part or even the whole


35

rotation depending on the number of the violation

VO-11 Not following the schedule and take any training in any other department or hospital without any formal permission

The violated rotation will not be considered which requires repeating the whole rotation in addition to punishment of additional one (1) month training

VO-12 Not performing or delaying in performing any of the daily duties without excuse.



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Faculty of Medicine Mission

The Faculty of Medicine-King Abdulaziz University is

committed to provide high-quality educational programs –

to under- and postgraduate students; nurture research

and scholarly activities; as well as community

engagement in the Kingdom of Saudi Arabia.

INTERNSHIP OFFICE

Building (10) – Ground Floor – Room (1008)

E-mail: [email protected]

Office number: 640-8468

Copyrights preserved to King Abdulaziz University-Faculty of Medicine

2015-2016

Documents

KINGDOM OF SAUDI ARABIA Ministry of Education KING